Student Info

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Students Name *

First

Last

Parent's Name *

First

Last

Student Age *

What instrument are you Interested in? *

Phone *

Email *

Lesson Options *

30 Minute Lesson for $40 45 Minute Lesson for $50 60 Minute Lesson for $65

Experience playing a Musical Instrument and what Level? *

What are the best days and hours for your lessons? *

Other Notes: tell us your goals *

Address *

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Line 2

City

State

Zip Code

Country

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